| Fall Creek Internal Medicine, LLP | |
|
2160 Ne Williamson Ct Bend OR 97701-3760 | |
| (541) 389-1118 | |
| (541) 389-2662 |
| Full Name | Fall Creek Internal Medicine, LLP |
|---|---|
| Speciality | Internal Medicine |
| Location | 2160 Ne Williamson Ct, Bend, Oregon |
| Authorized Official Name and Position | Nita a Hollums (OFFICE MANAGER) |
| Authorized Official Contact | 5413891118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fall Creek Internal Medicine, LLP 2160 Ne Williamson Ct Bend OR 97701-3760 Ph: (541) 389-1118 | Fall Creek Internal Medicine, LLP 2160 Ne Williamson Ct Bend OR 97701-3760 Ph: (541) 389-1118 |
| NPI Number | 1518005222 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7810980497 |
|---|---|
| Medicare Enrollment ID | O20040407001576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518005222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Patricia N Nibler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386708873 PECOS PAC ID: 3870618895 Enrollment ID: I20100914001404 |
| Provider Name | Kathryn M Kocurek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790849131 PECOS PAC ID: 4789709700 Enrollment ID: I20100914001405 |
| Provider Name | Kristin M Vandomelen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710117122 PECOS PAC ID: 3577716919 Enrollment ID: I20140527000515 |
| Provider Name | Monica R Mattick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902298151 PECOS PAC ID: 7214210731 Enrollment ID: I20170208000189 |
| Provider Name | Brittany L Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942434717 PECOS PAC ID: 6901033208 Enrollment ID: I20190327001669 |
| Provider Name | Jessica Jensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578188777 PECOS PAC ID: 7517355811 Enrollment ID: I20230627003024 |
Pine Springs Health LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 Ne Irving Ave, Bend, OR 97701 Phone: 541-330-9110 |
St. Charles Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321 |
Mosaic Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2577 Ne Courtney Dr Ste 100, Bend, OR 97701 Phone: 541-383-3005 |
Domani Medical LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 685 Se 3rd St, Bend, OR 97702 Phone: 541-516-4099 |
Adam Derr, P.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 528 Ne Greenwood Ave, Bend, OR 97701 Phone: 541-385-7890 Fax: 541-388-2606 |
Driven Enterprises PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20700 Wandalea Dr, Bend, OR 97701 Phone: 435-669-2930 |